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1043764897
KENNETH EDWARDS
CHICAGO, IL
NPI
1043764897
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Entity Type
Organization
Authorized Contact
KENNETH EDWARDS
Therapist
214-662-1040
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: IL 180010430)
Enumeration Date
2016-08-10
Last Update Date
2016-08-10
Business Address
KENNETH EDWARDS
2133 W THOMAS ST
CHICAGO, IL 60622-3629
Phone number: 214-662-1060
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Mailing Address
KENNETH EDWARDS
2133 W THOMAS ST
CHICAGO, IL 60622-3629
Phone number:
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